0306-163 (RPL)U)
N U)
W
O d
' W�
o Z r�
co0o
HCD
JVD
U)
Z
co
N
ON
U0)
(LQ
Z
LO
a Ir
0
X W �=
m U U
O
a rnH
't Z_
ob 5
r` O
Q
J
LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
695 i 28 CM3 `-101C: C, 10/31' N
Date Signature of Contractor
�.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for
sale (Sec. 7044, Business & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
( ) I am exempt under Section , B&P.C. for this reason
Date Signature of Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty .of perjury one of the following declarations:
( ) I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
s).••I have and will maintain workers' compensation 'insurance, as required by
S66fion 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation insurance carrier & policy no. are:
Carrier TATECt`h¢M8,11JI Policy No. :46•fi1J8•%0U3
(This section need not be completed if the permit valuation is for $100.00 or less).
( ) I certify that in the performance of the work for which this permit is issued,
I shall not employ any person in any manner so as to become subject to the
workers' compensation laws of California, and agree that if I should become
subject to the workers' compensation provisions of Section 3700 of the Labor
Code, I shall forthwith comply with those provisions=
Date:1 V17 Applicant—
(4
-�
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at .
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to. cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building,
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property foripspection purposes. ,r}`
Signature (Owner/Agent) Date 4
BUILDING PERMIT PERMIT
DATE VALUATION may. LOT TRACT
.V
JOB SITE
ADDRESS '%8•-:i�a �.'��''(.�.�:Dlv.�.e: COURT APN _ ..
OWNER CONTRACTOR/DESIGNER/ENGINEER
MR ADT, O,a iV . s:3:A CIT CA tr"'OMEA.F'O01Z &'r_'P 5 (`�1 ,'? ).f. 11
78.3531AIRYl"3E�` S('XRT','ZT 5-4:
LA. QDW IZA; CA Q223:3 00ACBELA CA. 922,34,
061098.92:72 CMA -11
USE OF PERMIT
1o,mmG'",ii"l. r-Qu-1PI-11
I8,l/90A) LS
� :KA►fV.ti l:b4'L;?�V/1; YE�EE3'�tr''4XIS^43+-3y 8 $1 1
11i 21 n3t
04 ,Nt:T%?4IL" `7f h
FEE( s;.•s�'00-4 1 -000 $1,m U
91- its T RIS A3� 0q+;E. •.. POOL 10 1 -400-420-000 $45.00
Px..►3MBINCI PEE . - POOL ::}. 01-000-419-0%, 1:2".1110
A•.�y
M.
RECEIPT
�76.i.�i"JoJ 3„�4�Y�i?.��MiJ �1✓4�'t�C�i��F.��Y. ]1.`61.1 F�,�,.d'f.LY L.AA..•.2i,�.
JUN 1.2.2003' r U
n OF.LA QUINTA
eINANCE DEPT.
DATE BY
:,
TITIRMYC MEN, DUX NON111
yf14d J' .d5�
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROVALS
POOLS - SPAS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
OX for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fbdures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
F
DEC -16-2003 TUE 11;05 AM GordonRoss FAY N0. 7603417631 P, 02
AL 1tOSS, LLC
l.,)eccmbcc 15, 2003
City of I_a Quuita
(iuilding & tiafcry l�epa>;tlncnt
VIA FACS]'\111.12
777-7011
To Whom 1t .May Concern;
is no lonpecord for tlic As of Dccenil?z= 1.5, 2003 TOM �
Libby 766353 13>skdale Court,. Alpha
L I�`uinta �cThe new eon>snceor i A
located in the 'rr'editill" Golf Com ty
Omefia license 02O066.
Sincerely,
t I I;
Ross 5. Slout
Member
f
42-62I COvI< s'fR11ET, SUi'.CI?, 1U4 PALM L1fi5Elt'1'. CA • 92'-'11
1)1rinNP,! 760-56R•17'13 ' VAX 7!;o-941.7631
10/22/2002 '10:41 760.3469918 DRIB PAGE 02/e2
iTradition
October 22, 2002
Al Ross, LLC
A.ttn:. Ross Stout
73960 Highway 111, Suite 6
Palm. )desert, CA 949.60
Re: 7835.9 Birkdale
Dear Mr. Stout,
The Tradition Architectural Committee has reviewed your third submittal of
construction documents for lot 32 Birkdale. The plans were approved subject to the
following comments:
1. Please shover the top of the property line wall heights on your grading plan.
The property line walls must be 6' above the higher of the two pads.
A. There is a potential safety issue from. the golf course, this will need to be
addressed.
S. A $5,000.00 construction performance deposit is required prior to the onset
of construction. Please make the check payable to; Tradition Community
Association.
Please submit the revi:,ed grading plan to the Association office prior to the setback
inspection. We look forward to working with you on, the construction of this home.
Sincerely,
Mindy Gutierrez, Property Manager
Tradition Community Association
cc: Gordon Stein
DESERT RESORT MANAGEMENT
POST OFFICE BOX 4772 • PP.LM DESERT, CALIFORN[A 92261.4772
73.550 ALEs$ANDRO, SLfITE 5 • PALv, DESERT, CAUFORNIA 92260
PHONE (760) 346-1161 4 FAX (760) 3464925
Date
10/8/02
No.
23716
Owner
Al Ross LLC
Address
City
La Quinta Zip 92253
Tract #
28611
Type
Single Family Residence
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road
La Quinta, CA 92253
(760) 771-8515
APN #
Jurisdiction
Permit #
Study Area
No. of Units
�1FlEpS
q��'1�1r71��.,�0
o.
BERMUDA DUNES
RANCHO MIRAGE
INDIAN WELLS
PALM DESERT
LA QUINTA
"QINDIO y�i
770-280-031
La Quinta
1
Lot # No. Street S.F. Lot # No. Street S.F.
Unit 1 32 78353 Birkdale Court 4810 Unit 6
Unit 2 Unit 7
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10
Comments
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under
500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile
homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $2.14 X 4,810 S.F. or $10,293.40 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By CCMells Fargo Bank - Jennifer Depetris Check No. 0068924639
Name on the check Telephone
Funding Residential
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Juanita Green
Signature
$10,293.40 $0.00
Payment Recd Over/Under
NOTICE: Pursuant to GoYmment Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees or
other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which
those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting
P P 0 J --CT:
LOT -32 TRADMON
ARCHITECT:
STEIN & ASSOCIATES
41945 BOARDWALK: STE "K° I
PALM DESERT, CA. 92211 '
REAS OI EVISED FOUNDATION PI�AN S2.1
;-OP, MASTER SU;TE WiND0W
-%oI-,W- mow• p A
sly bots CS tG� t3 -o
tow& GOtL• STRAP
ova. �V;\)40pn v--/
2-14)a t Arc1CIL.-
4k�
To 7v Q
t
zj�,"Z��e�w5 LA (Qt1;,i�� (tea
REGISTERED INSPECTOR'S WEEKLY REPORT
JON TANDY
3 630 Medjool Ave.
Palm Desert, CA 92211
Office (760) 772-7192
Fax (760) 772-7193
Pager (760) 776-3338
TYPE OF
INSPECTION
PERFORMED
D REINFORCED CONCRETETRUCT. STEEL ASSEMBLY D
D POST TENSIONED CONCRETE D ASPHALT HER
D REINFORCED MASONRY D FIRE PROOFING Wj
JOB LOCATI
�� L --A `,�- x**
REPORT SEQUENCE N0.
TV OUTgUCTURE
1CIi/\J
�O-r * 3/� -^ PERMIT N0.
pL �Nt t
DAj 0 o3
J O
DAY OFWEEK
MATERIAL DESCRIPTIONARCHITECT
_3( o R�J-o ° N
! R
HRS. CHARGED
C- `- 0 0\._A q ENGINEER it pe
ASSISTANTS
HRS. CHARGED
INSPECTION
GATE
GENERAL� SUB
CONTRACTOR ` .CONTRACTOR
lo
IgsCs •P LOCAA44q AW\-
CO" "
W. 30
• ei4 ®
S 1& OL-(-�
l +Y -3o f F. A Ip
o -F C -a t � j O P (4 i1�
o
w 3 0 Foe. t� t&�
C,t---r`t o u'L-
i -R-C-r- E�� 6
LAwd s Ul--T-
TI) -(;n, (C)�
1
Lie Cn
Wr
� a
COPY SENT TO CLIENT O
COWIN
NEXT PAGE O
nc
PAGE OF
CERTIFICATION OF COMPLIANCE
'HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF WKNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE
NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED
PLANS, SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE
GOVERNING BUILDING LAWS.
SI NATU OF REGISTERED IN CTO
63
DA OF EPORT REGISTER NUMBER